Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.33 / $21.62 / $54.26	Professional		$21.33	$21.62	$54.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.95 / $15.32 / $31.84	Professional	26	$4.95	$15.32	$31.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.44 / $16.67 / $25.50	Professional	TC	$16.44	$16.67	$25.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $14.73 / $16.26	Professional		$14.61	$14.73	$16.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.07 / $3.10 / $3.24	Professional	26	$3.07	$3.10	$3.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $28.70 / $39.40	Professional		$6.65	$28.70	$39.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.00 / $91.00 / $91.00	Facility		$91.00	$91.00	$91.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.17 / $36.94 / $63.27	Professional		$14.17	$36.94	$63.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.07 / $6.82 / $14.82	Professional	26	$3.07	$6.82	$14.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.71 / $21.69 / $48.45	Professional	TC	$10.71	$21.69	$48.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.70 / $40.59 / $60.00	Facility		$22.70	$40.59	$60.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $47.10 / $263.07	Professional		$18.80	$47.10	$263.07
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $4.32 / $10.83 / $145.30	Professional	26	$4.32	$10.83	$145.30
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $14.51 / $39.11 / $226.21	Professional	TC	$14.51	$39.11	$226.21
United Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $29.56 / $62.18	Professional		$18.80	$29.56	$62.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.86 / $4.33 / $11.64	Professional	26	$3.86	$4.33	$11.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.48 / $25.70 / $47.00	Professional	TC	$14.48	$25.70	$47.00